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Part 1:r/r B-cell MalignanciesPhase 1/2NCT04014205

A Study of Tyrosine Kinase Inhibitor Orelabrutinib (ICP-022) in Patients With r/r B-Cell Malignancies

A Phase 1/2 study testing Orelabrutinib (ICP-022) in people with Part 1:r/r B-cell Malignancies and Part 2:B-cell Malignancies, run by Beijing InnoCare Pharma Tech Co., Ltd. at 36 sites in 4 countries.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

This is a Phase I/II, multicenter, open-label study to evaluate the safety, efficacy, tolerability, and pharmacokinetics of a novel BTK inhibitor, Orelabrutinib (ICP-022) in Patients with B-cell malignancies. The study contains two parts, Part 1 (dose escalation) and Part 2 (dose expansion). Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Orelabrutinib (ICP-022)
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
81 participants
Where
36 sitesin 4 countries
Study dates
18 Nov 2019to 30 Jun 2026
Phase
Phase 1/2
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Signed Informed Consent.
  • Age ≥ 18 years.
  • Part 1: Patients with histologically confirmed relapsed or refractory B-cell malignancies, including Grades 1-3a FL, MZL, MCL, and CLL/SLL.
  • Part 2: Patients with histologically confirmed B-cell malignancies including r/r FL, r/r MZL and CLL/SLL with/without prior treatment.
  • Life expectancy (in the opinion of the investigator) of ≥ 4 months.
  • ECOG performance status of 0 ~1.
  • Must have adequate organ function.
  • Negative test results for HBV ([HBsAg (-)] and non-active HBV or HCV infection

Who cannot join

  • Pregnant or breast-feeding or intending to become pregnant during the study.
  • Prior treatment with systemic immunotherapeutic agents.
  • Known allergies to Orelabrutinib (ICP-022) or its excipients or infection with HIV.
  • Treatment with any chemotherapeutic agent, or any other investigational therapies within 4 weeks prior to first dose of the study drug.
  • History of allogeneic stem-cell (or other organ) transplantation or confirmed progressive PML.
  • Any external beam radiation therapy within 6 weeks prior to the first dose of the study drug.
Show all 16Show fewer
  • Concurrent use of warfarin or other vitamin K antagonists or anticoagulation therapies or strong CYP3A inhibitor.
  • Active uncontrolled infections.
  • Recent infection requiring IV anti-infective treatment that was completed ≤ 14 days before the first dose of study drug.
  • Unresolved toxicities from prior anti-cancer therapy.
  • Medically apparent CNS lymphoma or leptomeningeal disease.
  • Current or previous history of CNS disease.
  • Major surgery or significant traumatic injury < 28 days prior to the first dose of the study drug.
  • Patients with another invasive malignancy in the last 2 years.
  • Significant cardiovascular disease or active pulmonary disease.
  • Received systemic immunosuppressive medications.

Trial locations and contacts

36 sites in 4 countries.

36 sites in 4 countries

United States27 sites
  • Pacific Cancer Medical Center

    Anaheim, California, 92801-1824

  • Anne Arundel Medical Center (AAMC) Oncology and Hematology

    Annapolis, Maryland, 21401-3093

  • Gabrail Cancer Research Center

    Canton, Ohio, 44718

  • Tennessee Oncology - Chattanooga Oncology & Hematology Associates

    Chattanooga, Tennessee, 37404-1130

  • Northwest Neurology - Rolling Meadows Office

    Elk Grove Village, Illinois, 60007

  • Summit Medical Group

    Florham Park, New Jersey, 07932-0001

  • Florida Cancer Specialists (FCS) South

    Fort Myers, Florida, 33901

  • Goshen Center for Cancer Care

    Goshen, Indiana, 46526

  • MD Anderson Cancer Center

    Houston, Texas, 77030

  • Tennessee Cancer Specialists

    Knoxville, Tennessee, 37909-1327

  • Southeast Nebraska Cancer Center

    Lincoln, Nebraska, 68510-2496

  • Los Angeles Cancer Network - Good Samaritan Hospital Location

    Los Angeles, California, 90017

  • Sarah Cannon Research Institute - Tennessee Oncology

    Nashville, Tennessee, 37203-1625

  • Tulane University School of Medicine - Tulane Cancer Center Comprehensive Clinic TCCCC

    New Orleans, Louisiana, 70112

  • Mayo Clinic-Mayo Clinic Hospital-Phoenix

    Phoenix, Arizona, 85054-4502

  • University of Pittsburgh - Hillman Cancer Center

    Pittsburgh, Pennsylvania, 15232

  • Desert Hematology Oncology Medical Group, Inc.

    Rancho Mirage, California, 92270

  • Mayo Clinic - Minnesota

    Rochester, Minnesota, 55905-0001

  • Coborn Cancer Center

    Saint Cloud, Minnesota, 56303

  • Guthrie Cancer Center

    Sayre, Pennsylvania, 18840

  • Orchard Healthcare Research Inc.

    Skokie, Illinois, 60077

  • Medical Oncology Associates PS (dba Summit Cancer Centers)

    Spokane, Washington, 99201

  • Cotton O'Neil Cancer Center (Stormont-Vail Cancer Center)

    Topeka, Kansas, 66606

  • Prairie Lakes Cancer Center

    Watertown, South Dakota, 57201

  • Asclepes Research Centers - Weeki Wachee

    Weeki Wachee, Florida, 34607

  • Clinical Research Alliance

    Westbury, New York, 11590

  • The Oncology Institute of Hope & Innovation

    Whittier, California, 90603

Other trials in United States

Ukraine6 sites
  • Cherkassy Regional Oncology Center

    Cherkasy

  • Khmelnytskyi Regional Hospital

    Khmelnytskyi

  • St. Luke's Hospital - Medical and Diagnostic Center

    Kropyvnytskyi

  • National Cancer Institute

    Kyiv

  • Institute of Blood Pathology and Transfusion Medicine

    Lviv

  • Transcarpathian Regional Clinical Hospital named after Andrii Novak

    Uzhhorod

Other trials in Ukraine

Israel2 sites
  • Soroka Medical Center

    Beersheba

  • Carmel Medical Center

    Haifa

Other trials in Israel

Poland1 site
  • Uniwersyteckie Centrum Kliniczne

    Gdansk

Other trials in Poland

About this study

Official title: A Phase I/II,Multicenter, Open-Label, Study of a Novel Bruton's Tyrosine Kinase Inhibitor, Orelabrutinib, in Patients With B-Cell Malignancies

This is a Phase I/II, multicenter, open-label study to evaluate the safety, efficacy, tolerability, and pharmacokinetics of a novel BTK inhibitor, Orelabrutinib (ICP-022) in Patients with B-cell malignancies. The study contains two parts, Part 1 (dose escalation) and Part 2 (dose expansion).

Being tested
Orelabrutinib (ICP-022)

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Orelabrutinib (ICP-022)Drug

    ICP-022 The drug product is a white, round, uncoated tablet

Study groups in NCT04014205
Study groupRoleWhat they receive
Part 1 Dose EscalationExperimentalPatients with r/r B-cell malignancies including Grades 1-3a FL, MZL, MCL, and CLL/SLL
Receives: Drug: Orelabrutinib (ICP-022)
Part 2 Dose ExpansionExperimentalArm 1: Patients with r/r MCL Arm 2: Patients with other types of B-cell malignancies, including: * CLL/SLL with/without prior treatment * r/r FL * r/r MZL
Receives: Drug: Orelabrutinib (ICP-022)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Part 1 Dose Escalation:The maximum tolerated dose (MTD)

    To determine the maximum tolerated dose (MTD)

    Measured: Incidence of dose limiting toxicities (DLTs) up to 28 days

  2. Part 2 Dose Expansion:ORR

    To assess anti-tumor activity of Orelabrutinib (ICP-022) in Patients with B-cell malignancies including r/r MCL, r/r FL, r/r MZL and CLL/SLL with/without prior treatment.

    Measured: Up to 2 years

Secondary outcomes (5)
  1. Part 1 Dose Escalation:Incidence and severity of treatment-emergent adverse events (AEs) [Safety and Tolerability]

    The incidence and severity of treatment-emergent AEs will be collected and the safety and tolerability of ICP-022 will be assessed

    Measured: Up to 2 years

  2. Part 1 Dose Escalation:ORR

    Objective response rate

    Measured: Up to 2 years

  3. Part 1 Dose Escalation:T1/2

    Elimination half-life

    Measured: Up to 2 years

  4. Part 2 Dose Expansion:Incidence and severity of treatment-emergent adverse events (AEs) [Safety and Tolerability]

    The incidence and severity of treatment-emergent AEs will be collected and the safety and tolerability of ICP-022 will be assessed

    Measured: Up to 2 years

  5. Part 2 Dose Expansion:DOR

    Duration of response

    Measured: Up to 2 years

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted10 Jul 2019
  2. Study start18 Nov 2019
  3. Primary completion30 Jun 2026 (estimated)
  4. Study completion30 Jun 2026 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1/2
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Sequential
Masking
None (open label)
Enrolment
81 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04014205
Sponsor's protocol ID
ICP-CL-00107
Status last verified
Jun 2026
First submitted
18 Jun 2019
Last updated
8 Jun 2026
Results posted
No
FDA-regulated drug
Yes
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing Orelabrutinib (ICP-022) in people with Part 1:r/r B-cell Malignancies and Part 2:B-cell Malignancies, run by Beijing InnoCare Pharma Tech Co., Ltd. at 36 sites in 4 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 8 inclusion and 16 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: under way, not looking for participants, as of the sponsor's last update on 8 Jun 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 36 sites in United States, Ukraine, Israel, Poland. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Part 1 Dose Escalation:The maximum tolerated dose (MTD) (time frame: Incidence of dose limiting toxicities (DLTs) up to 28 days). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 8 Jun 2026.

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